The URL can be used to link to this page

Permit �t CITY OF TIGARD �� p', MASTER PERMIT Ihil • COMMUNITY DEVELOPMENT Permit#: MST2013-00240 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/15/2014 Parcel: 2S 102BC07700 Jurisdiction: Tigard Site address: 10145 SW WOODARD LN Subdivision: 1998-119 PARTITION PLAT Lot: 1 Project: Woodard Partition, Lot 1 Project Description: New SF. 4/21/14 changed plumbing contractor to Western Plumbing BUILDING Floor Areas Required Setbacks Reauired Stories: 1 Bedrooms: 3 First: 1966 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 2 Second: 0 sf Garage: 495 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1966 sf Value: $235,439.65 Rear: 15 PLUMBING Sinks: 1 Water Closets: 2 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 2 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins 0 Bckflw Prevntr 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add?500 sf: 3 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All Other N Other Description: Ecompasing: V BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 1966 Owner: Contractor: WOODARD LIVING TRUST OWNER Required Items and Reports(Conditions) PO BOX 23303 CHUCK WOODARD 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97281 PO BOX 23303 10215 SW WALNUT TIGARD,OR 97223 PHONE: PHONE: 503-804-0930 FAX: Total Fees: $19,376.72 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 roug R 9 -0 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calli .232.1987 or 1.800.332.2344. Issued : 4 Permittee Signatte i(9—it r--14-ii—A--- Call 503.638.4175 by 7:00 a.m.for the next available Inspection da . This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 04/21/2014 14: 15 5036849015 WESTERN PLUMBING INC PAGE 01/01 Plumbing Permit A• • '.b. !'011 Building Fixtures El n City of Tigard FOR t>l It 1;S : ON iti 111.,..._ ..t�,/ R.eecvwi 13125 SW 13x11 Blvd,TiglaP5RZ3 961Y 14 DdwBy; • / /L '- ♦ -rI•aZ • Phone: 503.639.4171 Par: 503 Plan Roview (r,�l' Inspection Line: 503.6 II Dana . Oilier Permit No. A Internet: wwnv,tlger I IG . ' lace nesurEy a� r , r r e].•a r NarifiestUrthod: Jody Eg.- ❑New coastrnclion 0 D Araguaia is u.• , e checklist Descri ''on Addition/alteratiadk+ephe mint ❑Other: •� Fa Total New 1-2-family dwe;llnn (includes 100 R.for each utility connection) CATEGORY OF GbN6li3ttlL`1'>O!!Y -:.`! $FR(1)bath 31170 `� f',4 1-and 2r family dwelling ❑Commc llir iel s (2)bufh a37.7s — �(3)bath 50032 4 s S ❑Multi-family — ❑Masser builder additional bath/kitchen 23.02 "4 '. `AND LOCATION t C sq.lt) Page 2 Job Site address C basin or area drain ��-� �1�7Y'y�� 1.Qnn�. .1111 1s.76 OEM City/State/ZIP: ' lM `�= Foot Outsell,leach line,or trench train 111OMMINIMI SuitttJbldg/apt no.: p t Footing drain(no.liner ft:_) Mainfactured home Utilities 50.03 Cross sttect/direotioas to job site: — Manholes; 18-76 EMI • Rain drain connector IMEIMMI WEI M if 1 Clair'Zilitil IN mei'Ill) . A lk'=3:35:3=3m.''. "-I.'lina2t'--) alinl Subdivision: tno Water service(nit linear 11.. ) Page 2 nature or item: Tax map/parcel no.: Bsddiow presenter 31.27 o';pjr: Backwater valve MEM• Clothes washer 27.02 ►' �_,...,. 25.02 10.■1■ .- %! NI ..0 —0 . 6 Drinking fountain 25.02 El Ejectors/stamp 25.02 81kFfT Expansion tank 12.51 Nemec Pixtwro/aewer cap -MIMI Address: Floor drain/floor sink/hub — 25.02 City/State/ZIP: 1 25.0'2 Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 U,. .l.r lMACI,; N Iatoroeptor/grease trap 25.02 Busitless name- Medical gaa(value.$ ) P�2 Contact name: _ — Primer -�� Address: Itoaftlwin(commeraiat) 1111 12 51 Sink/basin/lavatory 25.02 City/State/ZIP: � Solar units(potable water) Phone:( ) l . •( ) ahawer/shower par 12.51 E-mail: • Urinal al Mill 25.02 Water C10sat as, s 25.02 MEI Business name Western Plauabbig,Lae Water heater 37.52 Water piping/D W V 56.29 Address:9460 SW Tigard Avenue Suite 101 25.02 City/State/ZIP:Tigard,OR 97223 Subtotal Phone:(503)639-52% Fear;003)684.9015 Minvumt permit fee 572.30 CCB Lie.:2439 Plumbing Lie,no,:34-29PB lien review(25%of permit fac) Authorized signature:41170 i/ (I Z%of ptvmit fee) NMI A=' ' ''4• . TOTAL PERMIT FEE Print name:Dana Jenseaa/0 p�-_ IJJ77 This p•rn.it appiuraoa ripires ifs permit ts not adtattled within 180 days j' after it bite been accepted as complete. (- ..'(tit); g/19.I//1( . rt CITY OF TIGARD MASTER PERMIT '"# a - COMMUNITY DEVELOPMENT Permit#: MST2013-00240 Date Issued: 01/15/2014 TIGARD 13125 SW Hall Blvd.. Tigard OR 97223 503.718.2439 Parcel: 2S102BC07700 Jurisdiction: Tigard Site address: 10145 SW WOODARD LN Subdivision: 1998-119 PARTITION PLAT Lot: 1 Project: Woodard Partition, Lot 1 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories' 1 Bedrooms: 3 First 1966 sf Basement 0 sf Left 5 Parking Spaces 0 Height 15 Bathrooms 2 Second 0 sf Garage 495 st Front. 20 Smoke Dwelling Units. 1 Third, 0 sf Right 5 Detectors Yes Total 1966 sf Value $235.439.65 Rear 15 PLUMBING Sinks 1 Water Closets 2 Washing Mach 1 Laundry Trays. 1 Rain Drain 1 Urinals 0 Lavatories 2 Dishwashers 1 Floor Drains 0 Sewer Lines 100 SF Rain Storm Sewer 100 Tubs/Showers 3 Garbage Disp 1 Water Heaters 1 Water Lines 100 Drains 0 Catch Basins 0 Bckllw Prevntr 0 Footing Drain. 0 Ice Maker 1 Hose Bib 2 Backwater Value 1 Drywell-Trench Drain 0 Other Fixtures. 0 Other Fixture Units MECHANICAL Fuel Types Air Conditioning N Vent Fans. 4 Clothes Dryers 1 Natural Gas Heat Pump N Hoods 1 Other Units 0 Furn<100K 1 Vents 0 Woodstoves 0 Gas Outlets 4 Furn>=100K 0 ELECTRICAL Residential Unit Service Feeder Temp SrvciFeeders Branch Circuits 1000 sf or less 1 0-200 amp 0 0-200 amp 0 W Svc or Fdr C Ea add'I 500 sf 3 201-400 amp 0 201-400 amp: 0 W/O Svc/Fdr 0 Mfd Home/Feeder/Svc 0 401-600 amp 0 401-600 amp: 0 601-1000 amp 0 601+amp-1000v 0 1000+ampivolt 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo. N HVAC: N Security Alarm N Vaccuum System. N Garage Opener N All Other N Other Description Ecompasing V BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW S VB R-3 1966 Owner: Contractor: WOODARD LIVING TRUST OWNER Required Items and Reports(Conditions) PO BOX 23303 CHUCK WOODARD 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97281 PO BOX 23303 10215 SW WALNUT TIGARD,OR 97223 PHONE PHONE. 503-804-0930 FAX Total Fees: $19.376 72 I This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of ;ssuance, or if work is suspended for more the 180 days, • TIO •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-r'1-0010 through 0 ' • 10 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344 Issi•d By: _ r Z-4._ Permittee Signature: =� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applieationti ECEf V[n Residential I [�,,J FOR OFFICE USE ONLY City of Tigard NOV 1 $ 2013 Date/ ed Permit No..NJ , 3-Gy 111 • 13125 SW Hall Blvd.,Tigard,OR 972�,� Plan Revi.,. �r Phone: 503.718.2439 Fax: 503.598.1%0 Date/B : gfijel i�i AtherPermit: �d�i9c`/3 'o T(G A R l� Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: 2�j�� lurs la See Page 2 for Internet: www.tigard-or.gov N,ed/Method: Supplemental Information TYPE OF WORK REQUIRED DATA:t-AND 2-FAMILY DWELLING t 0/New construction ❑Demolition Permit fees* are based on the value of the work performed. Indicate the value(rotmded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ��.4 _t Lf > _Q 1-and 2-family dwellin g ❑CommerciaUindustrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: 2 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: New dwelling area: square feet �C? I�l�" � W Wcc>�w, c�. LAME g �� q _,Zi City/State/ZIP: -ii . U K.t 0 /Z (77 2 2 3 Garage/carport area: 9q t square feet Suite/bldg./apt.no.: Project name: A tt.,,Cly, Po,S t Sr ,�.f:' E Covered porch area 23'7 ,tart feet 114�!f\J} Cross street/directions to job site: Deck area: ( square feet ly 9q NI-(.) -t E) ilnli►i. < 1— ( LeS4 o H Other structure area: 2,t�1 square feet i� .41c 1 / l Bvtxal.C.5 f elk E , Lc__�'I< C'j tor r el.t4, A3€ REQUIRED DATA:COMMERCIAL-USE CHECKLIST AN Subdivision: I Lot no.: / Permit fees'are based on the value of the work performed. Tax map/parcel no.: Z S 2 -)3c._- 7��Q 1 Indicate the value(rotnded to the nearest dollar)of all 1 equipment,materials,labor,overhead,and the profit for the 4` DESCRIPTION OF WORK work indicated on this application. fk NE= N�^� F Cc-0-t►aur`I' i CK\ Valuation: $ 3 Existing building area square feet New building area: square feet 0 PROPERTY OWNER ❑ TENANT Number of stories: Name: C w t C L Lt_fr c,,A LIJI U Type of construction: Address: [ (J E 6x 2-3/0-2) 1 4)1(C, S VA) Loek,k a Occupancy groups: City/State/ZIP: 1" 7 ? 1 �clJ1(., � T 7 �-2 Existing: Phone:(�C7 ) �{ C� C -3 n Fax:( ) New: Q APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Structural plan review fee(or deposit): 750. 0 L Contact name: . e Pt,,,pp�11-4 CJ k( C 1 Tk / FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Phone: Amount received: ( ) Fax::( ) E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: (AA uc l o o Submit two(2)sets of roof plan with connection details L- and fire department access,along with the 2010 Oregon Address: C c Fe,"�t 4 C,,LL, K 1 G- i'l Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: Total fee due upon appication: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. // 'Fee Service Bo methodology set by Tri County Building Industry Print name: if Date:�� /, 3 Service Board 1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(1/1/!02/COM/WEB) • Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No.: _ 13125 SW Hall Blvd.,Tigard,OR 97223 DateB Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: I I GARD 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing ❑ Mecha�ucul Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING' ITEMS ARE REQUIRED FOR PLAN REVIEW ,es •" I Land use actions completed. See jurisdiction criteria for concurrent reviews. _ • • • 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ _ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑plan ❑permit required_ Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if El ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ El ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ El systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ El architect licensed in Ore.on and shall he shown to he a.plicable to the .ro.ect under review. Il Rlk,l)I( I IO\AL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". _ ❑ ❑ . ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ , ❑ ❑ 25 Buildingplans shall not contain red lines or tape-ons. "Mirrored"buildingplans will not be accepted. ❑ ❑ ❑ 26 "Reversed"buildingplans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include theproject arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Buildng\Pemtits\BUP-RESPennitApp.doc 02/24/2011 440- 613T(11/02/COM/WEB) Plumbing Permit Applicati Building Fixtures KECEIVED FOR OFFICE USE f1N1.1 City of Tigard ttecci‘cd Date/By: // Permit No,: /19.00/ 13125 SW Hall Blvd.,Tigard,OR 97*V 1 8 2013 u ! /j � �t�Qn�� : ,1 Phone: 503.718.2439 Fax: 503.598.1960 3 oa �yr,e." Other Permit No.:L' '"� 5 Inspection Line: 503.639.4175 Date Ready/By: Juris 0 See Page 2 for TIGARD Internet: www.tigard-or.gov LAiITY OF TIGARn Notified/Method: Supplemental Information TYPE Ol+"rVAt1 INC DIVISION FEE* SCHEDULE For special information use checklist CiNew construction 0 Demolition Description 1 Qty. 1 En. [ Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 building SFR(3)bath 500.32 ❑Accesso ry g ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /Dill'S J(,) L,),... .-.4.,e. t L Catch basin or area drain 18,76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: r 9s1k , Da q7 z 2 7, Footing drain(no.linear ft.:) Page 2 Suite/bldg./apt.no.: I Project name: 0034 Jt kPS��d�ii,t:p Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Q I H 4 t> 3c,�K 5O� <4�� p, 1i�A r� Rain drain connector 18.76 1 / Sanitary sewer(no.linear ft.:_J Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: I Lot no.: / Fixture or item: Tax map/parcel no.: 2_ S 17_ - P,C._.- (.7 7 7()0 Backtlow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 la-PROPERTY OWNER I ❑ TENANT Expansion tank 12.51 Name: p Fixture/sewer cap 25.02 T LA C C � 1L�!`(�JZ Floor drain/floor sink/hub 25.02 Address: PO r3 ?-7 0 2 !D 1-( S.51436364 t Garbage disposal sal 25.02 City/State/ZIP: Ti el e.a ` C.e bp, _ 7•)7-7 Hose bib 25.02 Phone:( C� r." IS Fax:( ) Ice maker 12.51 ao PPLANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: 1 l Medical gas(value:S ) Page 2 Contact name: e Pv,,E.l°r��ft d " c_4`-t[ r`t�te Primer 12.51 Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) I Fax::( ) Tub/shower/shower pan 12-51 E-mail Urinal 25.02 CONTRACTOR Water closet 25.02 Water heater 37.52_ Business name: C/.f t,,,l(J p&AEU, eK Water piping/DWV 56.29 Address: E� P r -�.�-y 60..0 Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.: Plumbing Lid no.: State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE • Print name: ( Date: // 3 This permit application expires if a permit is not obtained within ISO days / ( ( -, ' after it has been accepted as complete. "Fee methodology set by Tri-County Building industry Service Board. I\Building\Permits\PLMU-PermitApp doc 10/01/09 440.4616T(10J02JCOM/WFB) Plumbing Permit Application,- City of Tigard Page 2 -Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. - Fee(a) Total Square Footage: Permit Fee: Footing drain-I a 100' 50.03 0 to 2,000 5121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 5169.69 3,601 to 7,200 $23310 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service- 1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62,54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees 0'' pee(a) Total each additional$100.00 or fraction thereof,to 1> and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fec is specifically indicated 90.00/hr each additional$100.00 or fraction thereof to (minimum charge—1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to 550,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge—2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge—1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2"and greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool •-Each Stall ❑ New exterior plumbing site utilities for any complex structure Car Wash: Drive Tall as defined in OAR918-780-0040. •Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: -Commercial ❑ Any multipurpose fire sprinkler system. • Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram • ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related _ -Industrial food related Ice MachJRefrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lay/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Fiber increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: 1:113uilding\Permits\PLMF_PetmitApp.doc 08/04/2011 2 Mechanical Permit ApplicattECEIVED Received FOR OFFICE USE ONLY ,/ 1,1 City of Tigard Date/By: �1! I� / � PermitNo.;:11 A/3..m `►'6 " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.19�p Date/By: Other Permit: 5(lj,e_94,3.�!r(90'1- Inspection Line: 503.639.4175 iY V 8 2013 Ti GAR D p Date Ready/By: lurls: la See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ('ITV OF TIGARD TYPE OF WORKi; DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work Et/New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Er-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. 1 Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address j , l L( ,_ l_ Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: T;(1 (f) 17 2_2__3 Furnace 100,000+BTU(ducts/vents) 54.91 _ Suite/bldg./apt.no.: Project name. Heat pump 61.06 ot; K. �;�1�E►� � Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 t l c Residential boiler(radiator or ( 1 (/(& 1-t sa X[3 %t-AS bA ` rC�_T' Le,E f b'-, hydronic) . 23.32 E rte r k a c• l Lt 4 ( rt J.) WO 0 p ,It t C A 4 Unit in-wall,in-du(fuel-type, t,sus pe,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: I Lot no.: ( Other: 23.32 . l Other fuel appliances: Tax map/parcel no.: 'Z s ' ,'L- C -C7'7 0 (. Water heater l 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 — Flue vent for water heater or gas /■_11't....1 .1-I rm h CL•--t 4'''''.-k.0'f'l v VI, fireplace 23.32 Log lighter(gas) 23.32 • Wood/pellet stove . 33.39 Wood fireplace/insert . 23.32 Chimney/1iner/flue/vent , 23.32 ErPROPERTY OWNER I ❑ TENANT Other: exhaust and ventilation: Nye' t /,"L PC ti )c,--.10,v2 e- Range hood/other kitchen equipment 1 33.39 Address: PO 8 0> 2, 3 3 0 3 /6 -2_15 r v 1 rt L s c Clothes dryer exhaust 1 I 33.39 City/State/ZIP: 1 Single-duct exhaust(bathrooms, 3Gi K t1\ 7 1 3 toilet compartments,utility rooms) A" 23.32 Phone:(507„) in it— ("r/?c1 Fax:( ) Attic/crawlspace fans 23.32 r APPLICANT li ❑ CONTACT PERSON Other: 23.32 _ Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: 5ec e rJYIce�f 7 eeoiiue—t Ci']-'1-fCtrV- r.-tk Furnace,etc. I Address: / Gas heat pump Wall/suspended/unit heater City/StatelZIP: Water heater i Phone:( ) Fax::( ) Fireplace l Range 1 E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: Other: L4< i t c'" MECHANICAL PERMIT FEES* Address: fY*r, pe44 E'LiFLA �'1FiL Subtotal City/State/ZIP: I Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lie.: TOTAL PERMIT FEE / This permit application expires if a permit is not obtained within 186 days alter it has been accepted as complete. Authorized signature: / ' Fee methodology set by Tri-County Building Industry Service Board ` Print name: Date: /e F/ 7 1:\Building\PermitsVMEC_PermitApp_040113.doe 440-4617r(11107JCOM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040I 13.doc 2 12/12/2813 18:56 5035981960 CITY OF TIGARD PAGE 01/01 Electrical Permit Application . r 11,r 1 t II, t t t...1 t l N l ■ gl Ci ofT and K CEWVED Reeeivtd . �� Perrot No.: lYt�'3`�;V(� tar i]nWBy: l ! . �3 17125 SV'Nall 131tid.Tigard,OR 97223 Man Review phone 503.718.2439 Fax. 503,S93.l.960 241 LIMeley: tJlher8crmit 0004e,94/3 -oa Inspection Line: 503.634-4375 NO V l Due aeady/Br j min: Sae Pare 2 far. 1rnrsrtct www.tixard,ttt.Srm NviFed/lrtclhntl: Snpprpnan411y1er.yati6ss . 1,Ra?ktC1yV• 3w COistnJCriOt 0 AdditiekdnTO ilea *04:M71 'Plan check ell that 6qy(n.laril 2 yet:+of plans*km,ehaetood below]: 0 Service or tccder 400 arcs T now ❑naOWN(aver arc varies. ❑DC11010o41 0 Other whore die ssailaete iadl email ❑Mariner and Ixw,gardtt CL•PFGORI E*•tGAPiSTRUE"tll r4 • womb 10,060 wore er 150 vale.or 0 Hearin berilainlp. Iva to wound,or amens 14,000 0 Commersi dine epientt7MI [•{'l-and 2-family dwelling 0 Commercial/industrial ❑Accessory building imps for all ether i.ctntleeone. 1w,ildnip ❑Multi-amity ❑Master builder ❑Other: 0 fre pomp. ❑Installation of I So VIA a 0 Eltcraaney system. Greer sap/inner derived poteta. JOB•WTE 11 OLttATtarf AND.LOCATIOON. : OAdditionof sow moor lidat ❑"A",•E^,^I-r'.-1- 1oh no.. Job sile addrtes:. 0 J( 5 ) } r� L�j tier Breese. oee.pnaa pat I f �� .00 �`[ ❑&x tan nose reeidaaiel units. ❑Recrwriarwl vcbid c City/State/7-(P. T1 Leh G'k.._ 9 7 22/ ❑Hntlt'h-cuofsetlilict. ❑$tmotywlltepe For oars it= ❑Ortardaie locality/. 600 yob nominal. Suite/bldg./apt rte.: `s P jcct name: w 0 D i)\.0-',1 t\ Kqe%Jt....,,c.P ❑ ee pr r"`k.r�o'rap,Or wawf. - ..�:.'. tit. tktiitiLE Cross street/directions to job cite:99 I.,/,4) (`--t .c, !t :or r.,.... I oat I r... I Ter, 1 • f N*.,,,,w residential single.or muld-h miIy dwelling unit. f 1: •/ .,1J- i. - •.. ' - A : A►/J a► , (« ti attached garmRe. Subdivision: Lot no.: :1 sq,R qr IM 1 \ 168.54 1 4 Ea edd'1500se.II.or'onion S 33.42 L t RA map/parcel no.: 2,. I/.` /3C- Q 770(2) Linuead mere,residerttwl l f OP'WORIO. 4w th above so ft.) t• 75.00 : 2 , _. Liwied matt',mu:6.6 milt' 75.90 2 rc identinl(with wbevc 54,ft.) _ . ■ Renewable F,nerpy 0 See Paw 1 ,--�-rr�r�� t Services or feeders instilled* mhos'•n andlor relocation lYJ'eMb I 'T)stM�l 2114 amp/or Mqs -- 100.70 -- _..... — 1 '` `1 - 201 amps t6 400 enip 133.56 2 Name: CA/L(C 1„,� 00 aL•--4 all amps to 600 amps 200,34 2 Add res5: 7 r '7". 601 nmpt lo 1,000 tope 301.04 2 U cac. �3 U 1 ��.l �W �►�[E 1! City/Stat�e/ZIP: 7,'j 4L-t 2.7 Ova 1.000 3 0r e%o S,alts 2 Ql�� rf�� Temporary�rvicev or teeAQw iwetallaliow,alteration,■udhtr /` relocation Phonc:(Jr.p�) Fro ti -p�3 d - Fax:( ) 200 tops or less 5936 1 Owner installation:This installation is Being made on property that 1 own which is nt11 201 a to 400 arts 12501 2 intended far sale,lease.rent,or exchange,according to ORS447,449.670.and 701. 401 amps to 599 are; 161.54 2 Owner signature: Date: Brandi circuits-new,alteration.or extension,ter panel VikPPLICAKE i D C`OPITAc r MASON A.Fee for hortch circuit,vide r above scrvic c or feeder fee, 7.42 2 Business name: each brand/until B Fee for branch chain wi/row . service a feed er ke.fast Contacame: r C( yo•-C j0.47 ,s lilF Cr _ f�rC,,% , b areh circuit ' 56.18 2 Address Bert add"branch vn'R 7,42 1 2 City/State/ZIP Mbeellaaeons(service or feeder one include.) Each mmrufacured armodular 6714 2 Phone:( ) Fan::( ) dwelltnL service and/or feeder Reconnect only 67.04 _ 2 E-mail• Pure or irrigation circle 67.8+ 2 • COIhFRACT TC Sign or outline lighting 67.04 2 Busi acts name:�e_t ti �c 6 E t,e CT2 r c__,, 13np1 circuixsl a limited-energy See pant,altortior4 or mica. Poste 2 2 of Address: 5 ,SO , , CAwt.t Q 2 p_.„, End%sddttl.aal Inspection over allowable i a any attic above • Adenomas iropection(1 br min) 66.25/1tr City/State/ZIP: Qp QTLrq w] Q a.? / -/7,/ :nvestigotion(1 hr min) 66.23/lrr Phone:(5o5).t'4- ze 9ee 1 Fax:(633 ) At/G-9.113 :adtntrial plant(Ibrmin) 71.1uar iwapectioni for wh id no fee is CCBLic.: 1SS5-09 ElectricalLic.: Ct9g Supra.tic.: q(,/3S rpscincanytismrt(v.).min) 90 Opt hr • RTBGERiEAI.'Prittitlt 114$9 Suprv.Electrician signature,rcquircd: Z A r r SutttrxM- i -Print name: EQG.t 1 � 7 s' ' 1 ii.—IG- 13 i Platt review(25%ofpermil fee):, State surcharge(1216 of permit key i Authorized signature: • TOTAL PERMIT FEE: I nits permit applkwrloa mina if a tte.eait is net abmlaed Mills III r Print name: Date drys eRtx It hue Ws atxepeed ft eorapteta • Number nfiaereat:o.rellowcdperpera,G. ^' 1:V3uieineerris Mr,C-rermitAav_PLR BRSdoe Now 4/irp17 siowealrtl',1as,COMM'sn 1,'d £liZ-9t' (coo) ouloe1a Boa eeiyl 11114 • Building Division Development Code Provision Review T I G`\R° Residential Projects Building Permit No.: H 1--.90 13 -co a�� Project/Subdivision Name: •H L p �? er'Q�1 , Lot #: f Site Address: /d i Y5 Set) ed 61 DA 4926 L-A/ CWS Service Provider Letter: Required:Yes ❑ No Received:Yes ❑ No )' Plans Routed: Original Plan Submittal Date: // /g//3 Routed By:/ 1 St Revision Submittal Date: ❑ Site Plan Only Routed By: 2nd Revision Submittal Date: ❑ Site Plan Only Routed By: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (1) items are approved. Items not approved and those listed in the notes must be revised prior to re-submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. Planning Review(contact P'1eS D" (Z— at(503) 718-2'21 or hineS IL @tigard- or.gov) Land Use Case No. R.I.-P(3 1 —COI Zoning p.9 .5 l Setbacks: t ,s 1 .0 Rear ___ Side �_ Street Side 151 tGaraage 2o ,ront ximum Building Height: 30 Actual Building Height t�3 6i Visual Clearance N/k LY Easements Sensitive Lands Type: N 0 fe' LSF')treet Trees 011't LW Protected Trees 01'Or Notes: 5 g Cc"Y"W'tA i0C. ! 1` kieci \dor\ dr1v‘ me n}. fix, iyls/,i � Original Plan: Approved Pm Not ApproveDate: Ill 25 f`3 Revision 1: Approved Not Approved ❑ Date: pp PP Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 L\CURPLN\Masters\Development Code Provision Review\DCPR RES.doc Rev.01/16/13 Engineering Review(contact Mike White at 503-718-2464 or MikeW@tigard-or.gov) ❑ Actual Slope: Notes: Original Plan: Approved r$ Not Approved ❑ Date )1`2C. Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review(contact Albert Shields at(503) 718-2426 or albert@tigard-or.gov) f ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date.Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yeses/ N ❑ Date Routed to Building. I l Page 2 of 2 I:\CURPLN1Masters\Development Code Provision Review\DCPR_RES.doc Rev.01/16/13 RECEIVED S I T E PLAN NO v 1 8 2013 SCALE: I" = 30 CITY OF TIGgRD /00y BUILDING DIVISION \ . , 1 F. ey �, / A ...%7----7, ..... .. D //J/;8, / it,..,,,y/. 1-- , (61 ...."....,...... / 1 I / \ '`/`I / II / /y` / . 11 1, tea. / /1 / / 1 ? / 1 / / I 1f�C / I / \ �G; L / / \ J / / ' / a / / 2j iiii /„-/ o.fo 1/ /,Q / a R Liao v��i+j" 4 ti ` I .1:1, RTC 2 . N . \ / 1 r Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical,and plumbing permits. Licensed architect and engineer applicants,exempt from licensing under ORS 701.010 (7), need not submit this statement.This statement will be filed with the permit. Please check the appropriate box: rI I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that a II subcontractors who work on the structure must be licensed with the Construction Contractors Board. ir will be performing work on property I own, a residence that I reside in, or a residence that I w ill reside in. If I hire subcontractors. I will hire only subcontractors licensed w ith the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this horn eowner statement is true and accurate. / /0,-14//s / Zaid 4 4.k (/ Print Name of Permit Applicant . / . f � 7.,./- //, 5--/, ./ Signature of Permit Applicant Date Permit#: M5ro (9D- coA -1D . F Address: Io L45 ' C0aob'92:b 1-P3 - `: �?( — coAe-- , e2 97 - Issued Date: 05/0 tit-Ii: This Copy for Permit Offices Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10145 SW WOODARD LN, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal FAIL MST2013-00240 George Heimos 1. freeze protection needed at: garage to protect all water pipes in unconditioned spaces 313.6 water heater and hose Bibb drain back. 2. Install earthquake straps for water heaters (Plbg Code Interp 08/12/05) 1 ½”penetration, #12 wood screws with washers attach straps to structure on either side of water heater. 508.212 3. Support water heater temperature and pressure relief every 3' vertically. Installation standards. 4. Expose outside sanitary sewer cleanout. 719.3 5. Correct leak under master bath right lav. 310.0 6. water pressure exceeds maximum of 80 PSI, PRV required. 608.2. (96psi) 7. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10145 SW WOODARD LN, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal PASS November 17, 2014 at 8:02:49 AM MST2013-00240 David Young This inspection was passed on 11/14/14. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10145 SW WOODARD LN, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - C of O November 19, 2014 at 11:26:43 AM MST2013-00240 David Young Final erosion control done. Street tree certiﬁcation received. High efﬁciency lighting form received. Moisture content form received. Duct seal test just completed, HVAC company to submit printed results to city. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10145 SW WOODARD LN, TIGARD, OR, 97223 Residential - Master Permit 399 Plumbing ﬁnal PASS November 14, 2014 at 9:58:24 AM MST2013-00240 David Young Corrections done from previous inspection. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10145 SW WOODARD LN, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection FAIL November 14, 2014 at 10:14:13 AM MST2013-00240 David Young Provide street tree per city approved plot plan. Post address for residence visible from the street. Provide city required documents for ﬁnal inspection, Street tree certiﬁcation form. High efﬁciency lighting form. Moisture content form. Provide duct seal test report for duct work in the crawl space. Violation Summary: Inspector Contractor